scholarly journals Multi-Level Monitoring of Vaccination Adherence of Various Population Groups in the Context of the COVID-19 Pandemic: Problematic Issues

2022 ◽  
Vol 20 (6) ◽  
pp. 28-36
Author(s):  
A. A. Golubkova ◽  
T. A. Platonova ◽  
T. A. Semenenko ◽  
S. S. Smirnova ◽  
A. D. Nikitskaya ◽  
...  
Keyword(s):  
Vaccination Coverage ◽  
Potential Risk ◽  
Negative Attitude ◽  
Online Resources ◽  
Medical Professionals ◽  
Medical Specialties ◽  
Population Groups ◽  
Corrective Measures ◽  
Coronavirus Infection ◽  
High Level

Relevance. Despite significant progress in the prevention of many infectious diseases, a number of organizational issues remain in the area of special attention. One of them is to ensure the timeliness and completeness of vaccination coverage in the decreed age groups, which is possible only with a high level of public commitment to vaccination. During the pandemic of the new coronavirus infection (COVID-19), achieving a high level of vaccination coverage of the National Calendar of Preventive vaccinations is of particular relevance. Aim. Using state-of-the-art online resources, assess population vaccination adherence to develop effective communication risk management technologies for immunoprophylaxis in the COVID-19 pandemic. Materials and methods. To assess the commitment of various population groups and professional contingents of a large industrial city to vaccine prevention, a survey of 965 parents was conducted at the initial stage, and subsequently a survey of 2,632 employees of medical organizations, including 1,422 people in the period before the COVID - 19 pandemic, 572 people in the «first wave» of the pandemic and 638 people in the «second wave». Instagram Facebook, Instagram, and VKontakte social networks were used to quickly obtain the necessary information (Google forms, corporate e-mails, WhatsApp, Telegram messengers, etc.). The work uses epidemiological, sociological and statistical methods of research. Results and discussion. When assessing the attitude of parents to vaccination, it was found that 78.8% of respondents were positive about vaccinations, 14.6% doubted their effectiveness and safety, and 6.6% denied their need. The main source of information that forms the attitude to vaccinations of parents was the opinion of medical professionals. In a survey of 1,422 employees, 190 people (13.3%) were identified, mainly from among the trained specialists, who themselves had a negative attitude to vaccination. When assessing the commitment of employees of medical organizations to the vaccination of a new coronavirus infection, the attitude to vaccination was ambiguous, especially in the group of secondary medical personnel and female employees of non-medical specialties, who are a potential risk group for forming a negative attitude to vaccinations and can act as «opinion leaders» on this issue for other categories of the population. Insufficient adherence to COVID-19 vaccine prevention has also been observed in other countries among various population groups, which is a serious problem on a global scale, hindering the fight against the pandemic of a new disease, which requires corrective measures. Conclusion. In this study, using modern online resources, a rapid assessment of the vaccination adherence of various population groups (parents and medical professionals) was carried out. It is shown that the use of modern technologies and software tools makes it possible to analyze a large array of data to solve problems of overcoming communication risks. The results obtained point to the need for prompt corrective measures in terms of the introduction of educational programs to increase adherence to vaccination, especially in groups at potential risk of the disease, including medical professionals, which is a priority for health care in all countries.

scholarly journals Vaccination knowledge, attitudes and practices in patients with HIV: a cross-sectional survey

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Rousset ◽  
G Voglino ◽  
E Boietti ◽  
A Corradi ◽  
M R Gualano ◽  
...  
Keyword(s):  
Public Health ◽  
Infectious Diseases ◽  
Health System ◽  
Vaccination Coverage ◽  
Public Health System ◽  
Cross Sectional Survey ◽  
Hiv Patients ◽  
Cross Sectional ◽  
Contagion Risk ◽  
High Level

Abstract Background Infectious diseases are more common and severe in patients with HIV, which show different response to vaccines and a diminished protection. It is therefore very important to assess knowledge and attitudes towards vaccination in people with HIV, since precise vaccination coverage and vaccine hesitancy are not well established in this subgroup of patients. Methods A sample of 119 patients with HIV completed a cross-sectional survey. Patients were recruited during their routine medical examination at the infectious diseases clinic in Turin. The survey explored these main areas: demographics and history of HIV infection, vaccination history, attitudes towards vaccination, confidence in the public health system, contagion risk and disease seriousness perception. In this preliminary phase descriptive analysis were conducted. Results Preliminary data show that mean age of the participants was 49.51 years, 80% were males. The median of HIV infection duration was 10 years, while the median of the lymphocyte count was 762.50 cells/mm3. The disease with the highest vaccination coverage was tetanus (88.7%), considered a serious or very serious disease by 85.6% of the participants, despite low or very low contagion risk perception (84.1%). The disease with the lowest vaccination coverage was Herpes Zoster (7.3%), despite high or very high seriousness perception (70%). Furthermore, 99.1% of the participants showed high or very high confidence toward public health system professionals, and the majority of them (59.5%) stated that vaccines are more useful for the community than for the single person. Conclusions Vaccination coverage is still not fully satisfactory regarding diseases considered infrequent or mild. Considering the high level of confidence toward the public health system that has emerged, it is necessary to implement informative and operative strategies about vaccination for European HIV patients, which are particularly at risk regarding infectious diseases. Key messages Vaccination coverage and risk perception in HIV patients is not satisfactory for many diseases and an effort to implement informative strategies in Europe is needed. The role of vaccination in preventing infectious diseases in HIV patients should be recognized and strengthened by relying on the high level of confidence toward European public health systems.

scholarly journals THE IMPACT OF THE LAW VALUES TO OVERCOME LEGAL NIGILISM

2019 ◽  
Keyword(s):  
Civil Society ◽  
Rule Of Law ◽  
Natural Law ◽  
Negative Attitude ◽  
Legal Culture ◽  
Social Value ◽  
The Rule Of Law ◽  
Potential Strength ◽  
Objective Property ◽  
High Level

The article substantiates the idea that in the process of the formation and development of the foundations of a civil society and the rule of law, legal nihilism continues showing to a certain extent its potential and thus inhibiting progressive legal changes. Attention is focused on the peculiarities of the stability of legal nihilism and the problems of its gradual overcoming. It is emphasized in the offered article the importance of the law values priority, of the legal ideal, of the principle of social justice in the process of eradicating the manifestations of legal nihilism in the relevant areas of society life activity and personality. The authors came to the following conclusion: Values of law is a phenomenon of objective property, to be based on the ideas of the natural law, arising from the fact of human existence and directed exclusively to a person, to his rights and needs. Value entity of law really manifests itself only under operating conditions of civil society and legal state, recognising a person, his rights and freedoms as the highest social value. Legal nihilism begins losing its potential strength only when the majority of members of civil society recognize the priority of values of law. Confrontation of values of law and legal nihilism decisively narrows the scope of negative legal phenomena in all forms of their manifestation. Basing on the values of law, civil society institutions can solve problems being in the field of interests and needs of each person, so creating favourable conditions to eradicate legal nihilism. Using the truly valuable potential of law (first of all, legal law), civil society and legal state carry out transformations that ensure decent existence of any individual and by this minimizing the manifestation of legal nihilism. Even with a sufficiently high level of development of civil society and legal state, the practical negative attitude to legal nihilism should not weaken, because in the face of any social and legal reality, various offenses (including serious crimes) can be committed. Overcoming legal nihilism is associated with constant increase in the level of legal awareness and legal culture of the majority of members of civil society, which is a consequence of the following conclusions. Values of law is a phenomenon of objective property, based on the ideas of natural law, arising from the fact of a person’s existence and directed exclusively to a person, his rights and needs. The value essence of law really manifests itself only in the conditions of the functioning of civil society and the rule of law, recognize a person, his rights and freedoms as the highest social value. Legal nihilism begins to lose gradually its potential strength only when the majority of members of civil society recognize the priority of the values of law. The confrontation of the values of law and legal nihilism decisively narrows the scope of negative legal phenomena in all forms of their manifestation. Based on the values of law, civil society institutions can solve problems that are in the field of interests and needs of each person, which creates favourable conditions for the eradication of legal nihilism. Using the truly valuable potential of law (first of all, legal laws), civil society and the rule of law carry out those transformations that ensure the worthy existence of the individual and thereby minimize the manifestation of legal nihilism. Even with a sufficiently high level of development of civil society and legal law any negative attitude to legal nihilism should not be weaken, since in the conditions of any social and legal reality, various offenses (including serious crimes) can be committed. Overcoming legal nihilism is associated with permanent increase in the level of legal awareness and legal culture of the majority of civil society members which is a consequence of increase of quality of legal education and upbringing.

scholarly journals Prospective preschool and primary school teachers’ knowledge and opinion about gamification

2021 ◽  
Vol 14 (1) ◽  
pp. 104-114
Author(s):  
Edina-Tímea OPRIȘ ◽  
Éva BÁLINT-SVELLA ◽  
Iuliana ZSOLDOS-MARCHIȘ
Keyword(s):  
Preservice Teachers ◽  
Primary School ◽  
Time Allocation ◽  
Negative Attitude ◽  
Point Of View ◽  
School Teachers ◽  
Online Questionnaire ◽  
Primary School Teachers ◽  
Open Questions ◽  
High Level

Abstract. Gamification is a rather new method in education and unfortunately is not a widely known method among Hungarian primary school teachers in Romania. This paper presents the knowledge and opinion of pre-service preschool and primary school teachers about gamification and its use in education. In this study 81 Primary and Preschool Pedagogy students from BabeșBolyai University were participated, 80 of them were female and 1 male. 40 students are in first year and 41 in second year of their studies. The research was carried out during February-March 2020 at Babeș-Bolyai University, Romania. To get to know their point of view and knowledge about gamification, an online questionnaire was developed by the authors. The obtained data was quantitatively (closed questions) and qualitatively (open questions) analyzed. According to the results, half of the students think that there is no difference between gamification and game-based learning and for three quarter it is difficult to see the differences. This is surprising as students were taught about gamification before filling in the questionnaire. Students perceive a high level of utility of gamification in education. The most frequently mentioned benefits by the participants are that gamification motivates and actively involves students. Even if participants gave many advantages of integrating gamification in education, the biggest disadvantage is related with the time necessary for preparation of a gamified lesson and for the time-allocation during the lesson. As obstacles of using gamification, they mentioned the negative attitude or/and lack of methodological knowledge of some teachers and the constrains of the curriculum. Most of the preservice teachers prefer both paper-pencil based and technology-aid gamification. They consider solving exercises the most suitable for gamification.

What is known about Prostate Cancer? Response from Men Aged 50 Years and Above in Lindi Municipal, Tanzania

2020 ◽  
Vol 31 (2) ◽  
pp. 33-44
Author(s):  
Simon Francis ◽  
Obadia V. Nyongole
Keyword(s):  
Prostate Cancer ◽  
Family History ◽  
Positive Family History ◽  
Negative Attitude ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Adult Men ◽  
History Of ◽  
One Year ◽  
High Level

Background: The incidence of prostate cancer in Tanzania is among the highest recorded in Africa. Prostate cancer is also the most common cancer among men aged 50 years and above in Tanzania. Our study aimed to determine the awareness, knowledge, and attitudes among adult men with age 50 years and above regarding prostate cancer.Methods: This was a cross-sectional study that included 250 adult men aged 50 years and above in Lindi municipal being purposively selected and we interviewed them by using a structured questionnaire. A stratified random sampling method was used for obtaining our participants. All men who had stayed for not less than one year in Lindi and willing to participate were enrolled in the study. These men were selected at households without screening whether or not they had taken prostate screening test or had been diagnosed with prostate cancer Quantitative data were cleaned and analyzed with SPSS version 20.Results: Majority, 216(86.7%) of our study participants were aged 50–69 years and most of them, 142(56.8%) had primary education with 93.2% of them being married. Among the study subjects 7.2% had positive family history of cancer and 195(78%) were aware of prostate cancer with source of information being mass media (62.6%). Majority of them, 63.2%, did not know the risk age group. Few, 20.8% of our participants had good knowledge while majority, 95.2% had negative attitude toward prostate cancer. We found a statistically significant association between level of education, family history and level of knowledge regarding prostate cancer with p < 0.005.Conclusion: This study revealed high level of awareness, but poor knowledge regarding prostate cancer and negative attitude toward prostate cancer among men with age ≥50 years in Lindi municipal Tanzania. Key words: Awareness, knowledge, attitude, prostate cancer.

Principles of contraception

2020 ◽  
pp. 1626-1634
Author(s):  
Zara Haider
Keyword(s):  
Sex Education ◽  
Potential Risk ◽  
Contraceptive Method ◽  
Intrauterine Device ◽  
Unprotected Sex ◽  
Online Resources ◽  
Contraceptive Methods ◽  
Duration Of Action ◽  
The Public

There are many contraceptive methods available (increasing year on year) which can be classified as: hormonal and non-hormonal, longer lasting, and those with a shorter duration of action, reversible and irreversible. No contraceptive method is 100% effective (apart from abstinence) and where there is potential risk of conception due to unprotected sex or an error with a contraceptive regimen, the patient must be informed about methods of emergency (post-coital) contraception, the most effective being the post-coital intrauterine device (PCIUD). Education of the public about the benefits of contraception is vital and must be done in a timely way (e.g. through school sex education, media, and online resources).

scholarly journals Effect of the COVID-19 Pandemic on the Activity of Physicians Working in the Areas of Head and Neck Surgery and Otorhinolaryngology

2020 ◽  
Vol 24 (03) ◽  
pp. e258-e266 ◽  
Author(s):  
Luiz Paulo Kowalski ◽  
Rui Imamura ◽  
Gilberto de Castro Junior ◽  
Gustavo Nader Marta ◽  
Aline Lauda Freitas Chaves ◽  
...  
Keyword(s):  
Head And Neck ◽  
Online Survey ◽  
Acute Infection ◽  
Neck Region ◽  
Neck Surgery ◽  
Medical Specialties ◽  
Head And Neck Region ◽  
Professional Activities ◽  
High Level ◽  
The Impact

Abstract Introduction Coronavirus disease 2019 (COVID-19) is an acute infection caused by the new coronavirus (SARS-CoV-2) and it is highly transmissible, especially through respiratory droplets. To prepare the health system for the care of these patients also led to a restriction in the activity of several medical specialties. Physicians who work with patients affected by diseases of the head and neck region constitute one of the populations most vulnerable to COVID-19 and also most affected by the interruption of their professional activities. Objective The aim of the present study was to assess the impact of the COVID-19 pandemic on the practice of head and neck surgeons and otorhinolaryngologists in Brazil. Methods An anonymous online survey of voluntary participation was applied, containing 30 questions regarding demographic aspects, availability of personal protective equipment (PPE), and impact on the routine of head and neck surgeons and otorhinolaryngologists, as well as clinical oncologists and radiation oncologists who work with head and neck diseases. Results Seven hundred and twenty-nine answers were received in a period of 4 days, ∼ 40 days after the 1st confirmed case in Brazil. With professionals working in public and private services, there was a high level of concerns with the disease and its consequences, limited availability of PPE and a significant decrease in the volume of specialized medical care. Conclusion The study demonstrated a direct impact of the COVID-19 pandemic on the clinical practice of specialties related to the treatment of patients with diseases of the head and neck region already in the beginning of the illness management in Brazil.

Clinicians’ Response to the Diagnosis

2017 ◽  
Author(s):  
Sigita Plioplys ◽  
Shan Abbas ◽  
Brien Smith
Keyword(s):  
Treatment Outcome ◽  
Negative Attitude ◽  
Diagnosis And Treatment ◽  
Patient Relationship ◽  
Medical Specialties ◽  
Psychogenic Nonepileptic Seizures ◽  
Positive Attitudes ◽  
Nonepileptic Seizures

This chapter explores clinicians’ attitudes toward the diagnosis and treatment of psychogenic nonepileptic seizures (PNES). Across medical specialties, many clinicians report misconceptions about the nature of PNES, which contributes to a negative attitude toward this disorder and difficulties interacting with PNES patients. When working with PNES patients, clinicians often experience feelings of professional incompetency, frustration, and anxiety, which can negatively impact the clinician–patient relationship and treatment outcome. Recommendations to increase clinicians’ knowledge about PNES, promote more positive attitudes toward the disorder, and improve the clinician–patient relationship are provided.

scholarly journals “Just live with it”: Having to live with breast cancer related lymphedema

2016 ◽  
Vol 21 ◽  
pp. 77-85
Author(s):  
Johanna E. Maree ◽  
Dalene Beckmann
Keyword(s):  
Breast Cancer ◽  
Qualitative Research ◽  
Treatment Failure ◽  
Treatment Options ◽  
Medical Professionals ◽  
Research Approach ◽  
Continuous Support ◽  
Breast Cancer Related Lymphedema ◽  
High Level

An exploratory qualitative research approach was selected for this study aiming to explore how people living with breast cancer related lymphedema experience this complication. Unstructured interviews were conducted with nine purposively selected participants. Living with breast cancer related lymphedema was not easy. Participants were not informed of the possibility of developing lymphedema and felt let down by the medical professionals they consulted. They had to face the physical, psychological and practical consequences without the continuous support of a knowledgeable therapist. Managing the lymphedema was a challenge as they could not afford the necessary treatment and theself-care items. In addition, treatment failure resulted in them feeling exploited and using various treatment options. Nurses should maintain a high level of suspicion of breastcancer related lymphedema, assess patients for lymphedema and refer them to a therapist specifically trained in the management of this debilitating condition.Hierdie studie ondersoek die belewenis van mense met borskanker verwante limfedeem.‘n Kwalitatiewe eksploratiewe navorsingsontwerp is gekies en ongestruktureerde onderhoude is met nege doelgerig gekose persone gevoer. Limfedeem kompliseer die lewe en die proefpersone het die nie maklik gevind om daarmee saam te leef nie. Hulle is nie ingelig oor die moonlikhied om limfedeem te ontwikkel nie en was van mening dat hulle deur die medici wat hulle behandel het in die steek gelaat is. Die proefpersone moes die fisiese, psigologiese en praktiese gevolge van limfedeem sonder die bystand van ‘n kundige terapeut te bowe kom. Die hantering van die limfedeem was ‘n uitdaging aangesien hulle nie die behandeling en self-sorg artikels kon bekostig nie. Die slegte resultate van behandeling het tot gevolg gehad dat die proefpersone uitgebuit gevoel het en ook verskillende behandelingsopsies gevolg het. Verpleegkundiges moet ‘n hoë vlak van bewustheid ten opsigte van limfedeem handhaaf, pasiënte hiervoor beraam en na ‘n terapeut wat in limfedeem spesialieer verwys.

High level leaching of heavy metals from colorful ceramic foodwares: a potential risk to human

2017 ◽  
Vol 24 (20) ◽  
pp. 17116-17126 ◽  
Author(s):  
Taiwo Adedoyin Aderemi ◽  
Adeniyi Abiodun Adenuga ◽  
John Adekunle Oyedele Oyekunle ◽  
Aderemi Okunola Ogunfowokan
Keyword(s):  
Heavy Metals ◽  
Potential Risk ◽  
High Level

scholarly journals On revealing risk groups regarding emotional burn-out syndrome among medical workers during the covid-19 pandemic

2021 ◽  
pp. 162-172
Author(s):  
T.A. Platonova ◽  
◽  
A.A. Golubkova ◽  
S.S. Smirnova ◽  
E.V. Dyachenko ◽  
...  
Keyword(s):  
Potential Risk ◽  
Population Group ◽  
Risk Groups ◽  
Stress Factors ◽  
Burnout Syndrome ◽  
Destabilizing Factors ◽  
Psychoemotional State ◽  
Coronavirus Infection ◽  
Emotional Burnout ◽  
Emotional Burnout Syndrome

Medical workers have become a most affected population group during the pandemic of the new coronavirus infection (COVID-19). They were the first to start fighting against an unknown infection and at that stage their psychoemotional state determined not only correct evaluations of a situation but also relevant planning regarding control over it. Our research aim was to reveal risk groups among medical workers regarding developing emotional burnout syndrome and peculiarities of reacting to stress in an emergency epidemic situation. We applied our own author’s anonymous online poll available at Google platform to examine psychoemotional state of medical workers. The poll had a built-in “Scale of perceived stress-10” that included two sub-scales; one of them measured a subjectively perceived level of the situation strain and the other, the amounts of efforts made by medical workers to overcome it. The poll was performed in November–December 2020; overall, 638 medical workers took part in it. They were of different age and sex and had different positions and working experience. We established great variability in individual levels of overstrain as per the stress perception sub-scale (Ех < 0; Ех = –0.59) with more “low” than “high” values as per this sub-scale (Аs > 0; Аs = 5.66). Having analyzed variability of values as per the stress overcoming sub-scale, we revealed that they were homogenous (Ех > 0; Ех = 3.98) with prevailing “high” values (Аs < 0; Аs = –6.97). Medical workers with their working experience being shorter than 5 years turned out to be a risk group with the most destructive reactions to long-term affecting stress factors at work and at home during the COVID-19 pandemic. Apart from them, high mental risks were also detected for workers who treated patients with COVID-19 as well as those who had previously had the coronavirus infection. The research allowed obtaining actual data on psychoemotional state of medical workers during the COVID-19 pandemic and determining potential risk groups regarding developing emotional burnout syndrome. We substantiated the necessity to constantly provide psychological trainings for medical workers with their focus on peculiarities of their reacting during the first meeting with destabilizing factors and with further adjustment of educational programs provided for potential risk groups.

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